The effect of COVID‐19 on general anaesthesia rates for cesarean section. A cross sectional analysis of six hospitals in the north‐west of England
Anaesthesia Oct 22, 2020
Bhatia K, Columb M, Bewlay A, et al. - As per national figures from the UK, 8.75% of over 170,000 cesarean sections are performed under general anaesthetic. Researchers sought to ascertain if during the peak of COVID‐19 (SARS‐CoV‐2) pandemic, there was any change in general anaesthesia rates for caesarean section across six maternity units in the north‐west of England. Anesthetic information for 2,480 cesarean sections from April 1 to July 1, 2020 (during the pandemic), was assessed and compared with data from 2,555 cesarean sections performed at the same hospitals over a similar period in 2019. Findings revealed a significant reduction (7.7 to 3.7%) in general anaesthetic rates across hospitals during the pandemic. Reduction in regional to general anaesthesia conversion rates was observed (1.7 to 0.8%). No change in obstetric indications for cesarean sections was noted whilst there was an increase in the overall caesarean section rate. The decline in general anesthesia rates for caesarean section during the peak of the pandemic seemed to be influenced by factors like anaesthetic decision‐making, recommendations from anaesthetic guidelines and presence of an on‐site anaesthetic consultant in the delivery suite.
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